多发伤合并胃溃疡患者中的护理效果及影响

Comprehensive nursing intervention in patients with multiple injuries complicated with gastric ulcer:Clinical effects and impact on quality of life

目的探讨综合护理干预在多发伤合并胃溃疡患者中的护理效果及对生存质量的影响.方法取2015-05/2016-08医院收治多发伤合并胃溃疡患者60例,随机分为对照组(n=30)和观察组(n=30).对照组实施常规护理,观察组联合综合护理干预,采用生存质量评估量表对2组护理前、后生存质量进行评估,比较2组护理效果及对生存质量的影响.结果观察组护理后抢救时间、抗休克时间、气管插管时间,短于对照组(P<0.05);观察组护理后APACHEⅡ评分、护理后死亡率、多器官功能衰竭综合征发生率,低于对照组(P<0.05);观察组护理后抢救成功率和生存质量评分高于对照组(P<0.05).结论多发伤合并胃溃疡患者治疗过程中在常规护理基础上联合综合护理干预效果理想,能提高生存质量,值得推广应用.

To evaluate the clinical effects of comprehen- sive nursing intervention in patients withmultiple injuries complicated with gastric ulcer and its effect on quality of life. METHODS Sixty patients were randomly divided into a control group （n = 30） and an observation group （n = 30）. Both groups were given routine nursing care, and the observation group was additionally given comprehensive nursing intervention. The quality of life was evaluated using the quality of life assessment scale, and clinical effects of the two groups were also compared. RESULTS Rescue time, intubation time, and anti- shock time were significantly shorter in the observation group than in the control group （P 〈 0.05）. After nursing intervention, APACHE II score was significantly lower in the observation group than in the control group （P 〈 0.05）. The rescue success rate was significantly higher in the observation group than in the control group （P 〈 0.05）. The death rate and the incidence rate of multiple organ dysfunction syndrome was significantly lower in the observation group than in the control group （P 〈 0.05）. The quality of life score after nursing in the observation group was significantly higher than that of the control group （P 〈 0.05）. CONCLUSION Comprehensive nursing intervention combined with routine nursing intervention is effective in the treatment of multiple injuries complicated with gastric ulcer, and can improve the quality of life.